Adrenal carcinoma with intravenous extension into the tricuspid valvular plane in a patient with patent foramen ovale

We report on an adrenal carcinoma growing via the inferior vena cava into the right atrium and prolapsing into the right ventricle. A patent foramen ovale determined the pathophysiological and clinical appearance. Instead of an expected caval congestion the main features were paroxysmal dyspnoea and...

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Veröffentlicht in:	European heart journal 1994-05, Vol.15 (5), p.708-709
Hauptverfasser:	FRIEDRICH, M. G., DILL, H., UNVERDORBEN, M., ENGELS, G., SCHEELE, H., BACHMANN, K.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adrenal carcinoma Adrenal Gland Neoplasms - pathology Adrenals. Adrenal axis. Renin-angiotensin system (diseases) Biological and medical sciences Diagnostic Imaging Dyspnea - etiology Endocrinopathies Female Heart Atria - pathology Heart Neoplasms - complications Heart Neoplasms - diagnosis Heart Neoplasms - pathology Heart Septal Defects, Atrial - complications Humans intracardiac tumour Malignant tumors Medical sciences Middle Aged patent foramen ovale Tricuspid Valve Vena Cava, Inferior - pathology Ventricular Function, Right
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Zusammenfassung:	We report on an adrenal carcinoma growing via the inferior vena cava into the right atrium and prolapsing into the right ventricle. A patent foramen ovale determined the pathophysiological and clinical appearance. Instead of an expected caval congestion the main features were paroxysmal dyspnoea and cyanosis. The patient was investigated using echocardiography, magnetic resonance tomography and angiography.
ISSN:	0195-668X 1522-9645
DOI:	10.1093/oxfordjournals.eurheartj.a060572